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Objective: Self-esteem may be adversely affected in adults with overweight or obesity, particularly women and those showing higher BMIs, although there is no consensus in the literature. The objective of the current study, based on reported cross-sectional associations, was to clarify the relationship between global self-esteem and overweight/obesity in adults., Methods: Four databases were searched to identify eligible literature published prior to June 2024, and a systematic review was conducted of the 120 articles identified. Meta-analytic processing of 38 eligible articles at the study level and of the participant data obtained from 16 studies ( n  = 2,972) was conducted for quantitative synthesis. Potential moderators, such as gender, age, BMI, type of assessment, and treatment-seeking status, were tested., Results: The summary correlation between BMI and self-esteem across studies was r  = -0.11, 95% CI [-0.17, -0.05], z  = -3.70, p < .001. None of the tested moderators affected this association, although the meta-analysis of the individual participant data provided by the authors revealed a small effect of gender and a non-linear evolution of self-esteem linked to BMI., Conclusion: The present study found a negative relationship between global self-esteem and overweight/obesity in adults, which suggests a negative, although weak, effect of excess weight on self-perception.

Study Question: What are the pregnancy and obstetric outcomes in women with atypical hyperplasia (AH) or early-stage endometrial cancer (EC) managed conservatively for fertility preservation?, Summary Answer: The study found a live birth rate of 62% in patients with AH or EC after conservative treatment, with higher level of labour induction, caesarean section, and post-partum haemorrhage., What Is Known Already: Fertility-sparing treatment is a viable option for women with AH or EC during childbearing years, but the outcomes of such treatments, especially regarding pregnancy and obstetrics, need further exploration., Study Design, Size, Duration: This retrospective cohort study analysed data from January 2010 to October 2022, involving 269 patients from the French national register of patients with fertility-sparing management of AH/EC., Participants/materials, Setting, Methods: Women above 18 years of age, previously diagnosed with AH/EC, and approved for fertility preservation were included. Patients were excluded if they were registered before 2010, if their treatment began <6 months before the study, or if no medical record on the pregnancy was available., Main Results and the Role of Chance: In total, 95 pregnancies in 67 women were observed. Pregnancy was achieved using ART in 63 cases (66%) and the live birth rate was 62%, with early and late pregnancy loss at 26% and 5%, respectively. In the 59 cases resulting in a live birth, a full-term delivery occurred in 90% of cases; 36% of cases required labour induction and 39% of cases required a caesarean section. The most common maternal complications included gestational diabetes (17%) and post-partum haemorrhaging (20%). The average (±SD) birthweight was 3110 ± 736 g; there were no significant foetal malformations in the sample. No significant difference was found in pregnancy or obstetric outcomes between ART-obtained and spontaneous pregnancies. However, the incidence of induction of labour, caesarean section, and post-partum haemorrhage appears higher than in the general population., Limitations, Reasons for Caution: The retrospective nature of the study may introduce bias, and the sample size might be insufficient for assessing rare obstetric complications., Wider Implications of the Findings: This study offers valuable insights for healthcare providers to guide patients who received fertility-sparing treatments for AH/EC. These pregnancies can be successful and with an acceptable live birth rate, but they seem to be managed with caution, leading to possible tendency for more caesarean sections and labour inductions. No increase in adverse obstetric outcomes was observed, with the exception of suspicion of a higher risk of post-partum haemorrhaging, to be confirmed., Study Funding/competing Interest(s): No funding was received for this study. There are no conflicts of interest to declare., Trial Registration Number: N/A., (© The Author(s) 2024. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Objective: The aim of this study was to compare patient survival using sentinel lymph node (SLN) procedure and pelvic lymphadenectomy for stating early-stage high risk endometrial cancer., Methods: Patients who underwent surgery for early-stage high risk endometrial cancer between 2010 and 2017 were extracted from the incidence registry of the SEER program. We identified patients who underwent SLN mapping. Patients who initially underwent pelvic lymphadenectomy were selected as the comparison group. One-to-one matching was performed according to age, ethnicity, histology, extension and grade. The primary outcome was disease-specific survival. The secondary outcome was overall survival., Results: A total of 326 patients who underwent SLN mapping and 326 who underwent pelvic lymphadenectomy initially were included in the study. The three-year analysis did not find a significant difference between the SLN and lymphadenectomy groups on disease-specific survival probability (88.2% vs 82.7, P = 0.07) and on overall survival probability (82.7% vs 78.2%, P = 0.57). Patients who underwent SLN mapping had a lower mean number of lymph nodes removed (mean 3 vs 16, P < 0.001) and there was a higher rate of patients with positive pelvic lymph nodes (18% vs 14%, P = 0.04). Following adjustment for confounding factors, disease-specific survival did not vary according to the lymph node intervention performed (P = 0.056), but the SLN group had better overall survival than those in the lymphadenectomy group (P = 0.047)., Conclusion: The SLN technique was not associated with poorer disease-specific survival than pelvic lymphadenectomy even after adjustment. These results suggest that SLN is an acceptable and safe procedure in surgical staging for early-stage high-risk endometrial cancer., (© 2024 International Federation of Gynecology and Obstetrics.)

Competing Interests: Conflicts of interest The authors declare no conflicts of interest.

Objectives: Understanding the factors that lead to relapse is a major challenge for the clinical support of smoking cessation. Neurocognitive abilities such as attention, executive functioning and working memory, are possible predictors of relapse and can be easily assessed in everyday clinical practice. In this prospective longitudinal study, we investigated the relationship between pre-smoking cessation neurocognitive performance and relapse at six months in a sample of patients being treated for their tobacco dependence., Methods: 130 tobacco consumers were included in the study. They completed a comprehensive neuropsychological and clinical assessment before smoking cessation. The targeted abilities were intelligence, inhibition, shifting, working memory updating, verbal fluency and decision-making., Results: The rate of tobacco relapse at 6 months was 58%. Logistic regressions were used to assess which variables best explained relapse. None of the neuropsychological tests was a significant predictor of relapse at either 1, 3 or 6 months, either alone, or controlling for other covariates acting as significant predictors of relapse., Conclusions: Common neuropsychological tests, even those specifically targeting executive functioning such as inhibition, are not useful predictors of the success of a smoking cessation program in a clinical setting. Other variables, such as motivation to quit smoking or the presence of comorbid depression or anxiety disorders, appear to be more useful predictors of relapse., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Performance in reasoning tasks such as Raven's matrices experiences a dramatic increase over cognitive development, but the mechanisms responsible for this increase are unknown. Many cognitive processes are involved in a matrix task and could potentially change with age; strategy use appears to be a good candidate, as it typically improves over development and has a large impact on reasoning performance in adults. The present study tested the role of effective strategy use in Raven's standard progressive matrices in groups of 6-, 8-, 10-, 12-, 14-, 16-, and 18-year-olds (total N = 474). Strategy use was assessed with behavioral measures of gaze patterns in Raven's matrices. We also measured working memory capacity (WMC), a good predictor of strategy use in adults, using a battery of complex spans. The results showed that the effective strategy of constructive matching substantially increased with age, along with performance. Strategy use mediated over half the effect of age on reasoning performance. Older participants were also better at adapting strategy use to difficulty of the problems. Effective strategy use was beneficial to the same extent for participants of all ages. Age-related improvements in strategy use occurred in tandem with improvements in WMC, but did not appear to be primarily driven by them. Overall, our results indicate that strategy use is a critical underpinning of reasoning performance in children as well as in adults, and that theories of cognitive development of reasoning have to consider the central role of strategy use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Many studies have highlighted short-term memory (STM) impairment in dyslexic individuals. Several studies showed deficits for both item and serial order aspects of verbal STM in dyslexic individuals. These group-based studies, however, do not inform us about the prevalence of these deficits and, importantly, their potential heterogeneity at the individual level. The present study examined both group-level and individual STM profiles in dyslexic and age-matched non-dyslexic children. While confirming previous group-based results of both item and serial order STM deficits, individual analyses indicated two distinct profiles: one profile was associated with verbal item STM and phonological impairment while another profile showed selective serial STM deficits in both verbal and visual domains. Our results highlight the need for practitioners to consider the heterogeneous nature of STM impairment in dyslexia and to adapt STM and reading treatment strategies accordingly., (© 2023 John Wiley & Sons Ltd.)

For several years, there was a growing interest in intellectual giftedness and in particular in the non-cognitive specificities of gifted individuals. This topic attracted much public attention and sometimes led to contradictions with the scientific literature. The current review synthesizes a broad set of results related to non-cognitive specificities of intellectual gifted in children and adolescents. This synthesis of scientific research on giftedness and its associated non-cognitive features does not support the conclusion that there is a stable profile across gifted individuals that would consistently separate them from non-gifted individuals. A few specificities in some areas are noted, but they are not necessarily being systematic. These specificities often turn out to be in favor of gifted youth, contrary to the view sometimes defended in the general public that gifted individuals suffer from major everyday difficulties. Finally, methodological issues are listed regarding the designs of existing studies, with recommendations for future research in the field.

Working memory performance depends on reactivating memory traces, by rapidly switching between refreshing item representations and performing concurrent cognitive processing (time-based resource sharing (TBRS) account). Prior research has suggested that variation in the effectiveness of this process could be a plausible source of developmental changes in working memory capacity. This could conceivably extend to adults, potentially bridging the barrier between developmental and adult experimental research and providing a possible functional role for attention control and processing speed in working memory tasks. The present work was designed to replicate the finding of developmental differences in reactivation in children, and to test whether the same process could be related to individual differences in adults. Experiment 1 confirmed the finding of more effective reactivation for 14-year-old children than for 8-year-old children. Experiment 2 using the same task in adults manipulated the feasibility of reactivation within an experimental-correlational approach, and failed to find more effective reactivation for individuals with high working memory capacity, contrary to our predictions. Overall, our results support the role of reactivation as defined by the TBRS model as an important process in working memory tasks, and as a possible source of developmental increase in working memory capacity; however, they rule out the possibility that adult individual differences in the effectiveness of this process are a major cause of variability in working memory capacity, suggesting that differences between adults are of a different nature., (© 2023. The Psychonomic Society, Inc.)

Intelligence tests are often performed under time constraints for practical reasons, but the effects of time pressure on reasoning performance are poorly understood. The first part of this work provides a brief review of major expected effects of time pressure, which includes forcing participants to skip items, convoking a mental speed factor, constraining response times, qualitatively altering cognitive processing, affecting anxiety and motivation, and interacting with individual differences. The second part presents data collected with Raven's matrices under three conditions of speededness to provide further insight into the complex effects of time pressure, with three major findings. First, even mild time pressure (with enough time available for all participants to complete the task at a leisurely pace) induced speeding throughout the whole task, starting with the very first item, and participants sped up more than was actually required. Second, time pressure came with lower confidence and poorer strategy use and a substantial decrease of accuracy ( d = 0.35), even when controlling for response time at the item level-indicating a detrimental effect on cognitive processing beyond speeding. Third, time pressure disproportionately reduced response times for difficult items and participants with high ability, working memory capacity, or need for cognition, although this did not differentially affect ability estimates. Overall, both the review and empirical sections show that the effects of time pressure go well beyond forcing participants to speed or skip the last few items and make even mild time constraints inadvisable when attempting to measure maximal performance, especially for high-performing samples.

Background: Distraction is a classic anxiety management strategy in preoperative setting with children: distracting activities take children's attention away from threatening clues. What is less clear is the differential effectiveness of this technique depending on the task, and the degree of children engagement with the distracting task. The present work examined the role of flow (state of intense concentration and absorption in the distracting task) on children's preoperative anxiety., Methods: Anxiety and flow in a distracting activity were measured in a sample of 100 children (3 to 10 years-old), at two critical moments of the preoperative period prior to ambulatory surgery under general anesthesia (phase 1: up to separation from the parents; phase 2: up to general anesthesia). Common negative postoperative outcomes were also measured., Results: As expected, the analysis showed a negative association between the mean level of flow in the distracting activity during waiting periods and the preoperative anxiety of children at critical moments in the two phases (although there was no effect on postoperative recovery)., Conclusion: These findings demonstrate the importance of considering the degree of engagement in the distracting activity to understand the effectiveness of this strategy. The results may help provide guidance for better clinical application of this method.

For researchers and psychologists interested in estimating a subject's memory capacity, the current standard for scoring memory span tasks is the partial-credit method: subjects are credited with the number of stimuli that they manage to recall correctly in the correct serial position. A critical issue with this method, however, is that intrusions and omissions can radically change the scores depending on where they occur. For example, when recalling the sequence ABCDE, "ABCD" is worth 4 points but "BCDE" is worth 0 points. This paper presents an improved scoring method based on the edit distance, meaning the number of changes required to edit the recalled sequence into the target. Edit-distance scoring gives results close to partial-credit scoring, but without the corresponding vulnerability to positional shifts. A reanalysis of memory performance in two large datasets (N = 1093 and N = 758) confirms that in addition to being more logically consistent, edit-distance scoring demonstrates similar or better psychometric properties than partial-credit, with comparable validity, a small increase in reliability, and a substantial increase of test information (measurement precision in the context of item response theory). Test information was especially improved for harder items and for subjects with ability in the lower range, whose scores tend to be severely underestimated by partial-credit scoring. Code to compute edit-distance scores with various software is made available at https://osf.io/wdb83/ ., (© 2022. The Psychonomic Society, Inc.)